Skip to main content
British Heart Journal logoLink to British Heart Journal
. 1985 Oct;54(4):442–444. doi: 10.1136/hrt.54.4.442

Rapid expansion of a saccular aneurysm on the left coronary sinus of Valsalva: a role for early surgical repair?

R T Faillace, P Greenland, N C Nanda
PMCID: PMC481924  PMID: 4052283

Abstract

A thirty nine year old woman presented with ischaemic chest pain caused by a saccular aneurysm of the left coronary sinus of Valsalva. Over the next two weeks there was rapid dilatation of the aneurysm which led to left coronary artery compression and death from a massive myocardial infarction. It is suggested that early repair should be considered in patients with saccular aneurysm at this site, but only in the context of other management priorities.

Full text

PDF
442

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Buchbinder N. A., Roberts W. C. Left-sided valvular active infective endocarditis. A study of forty-five necropsy patients. Am J Med. 1972 Jul;53(1):20–35. doi: 10.1016/0002-9343(72)90112-x. [DOI] [PubMed] [Google Scholar]
  2. Feldman R. L., Buchoff H. S., Pepine C. J., Conti C. R. Aneurysm of sinus of Valsalva: cause of dynamic coronary constriction after aortic valvular replacement and bacterial endocarditis. Chest. 1978 Sep;74(3):312–314. doi: 10.1378/chest.74.3.312. [DOI] [PubMed] [Google Scholar]
  3. Hiyamuta K., Ohtsuki T., Shimamatsu M., Ohkita Y., Terasawa M., Bekki H., Toshima H., Utsu F., Ohishi K., Koga M. Aneurysm of the left aortic sinus causing acute myocardial infarction. Circulation. 1983 May;67(5):1151–1154. doi: 10.1161/01.cir.67.5.1151. [DOI] [PubMed] [Google Scholar]
  4. Olsen J. Aneurysm of the aortic sinus of Valsalva. A case of rupture and myocardial infarction. Acta Pathol Microbiol Scand. 1969;76(1):12–18. doi: 10.1111/j.1699-0463.1969.tb03227.x. [DOI] [PubMed] [Google Scholar]

Articles from British Heart Journal are provided here courtesy of BMJ Publishing Group

RESOURCES